Navigation Links
Brief class on easy-to-miss precancerous polyps ups detection, Mayo study shows
Date:1/8/2013

JACKSONVILLE, Fla. Most people know a colonoscopy requires some preparation by the patient. Now, a Mayo Clinic physician suggests an additional step to lower the risk of colorectal cancer: Ask for your doctor's success rate detecting easy-to-miss polyps called adenomas.

The measure of success is called the adenoma detection rate, or ADR, and has been linked to a reduced risk of developing a new cancer after the colonoscopy. The current recommended national benchmark is at least 20 percent, which means that an endoscopist should be able to detect adenomas in at least 1 of 5 patients getting a colonoscopy.

Recently, the Mayo Clinic in Florida developed a two-hour course designed to increase a doctor's ADR rate in order to reduce development of colorectal cancer.

They found the short course made a big difference in even experienced endocopsists, the physicians who perform colonoscopies.

"Numerous studies have shown that increased detection and removal of potentially precancerous polyps lowers the incidence of colorectal cancer," says Michael Wallace, M.D., M.P.H., chair of the Division of Gastroenterology and Hepatology at Mayo Clinic in Florida. "We also know that there is a lot of variability in how proficient physicians are at finding those polyps."

A team of Mayo physicians and researchers led by Dr. Wallace, has long been working to help endoscopists better detect polyps. Their findings are published in the Jan. 8 online issue of the American Journal of Gastroenterology.

Dr. Wallace and his team developed a two-hour training course that describes polyps that can be difficult to see, such as flat lesions, but are often the most dangerous.

The research team turned to Mayo Clinic endoscopists to study whether the course helps. Researchers first looked at the adenoma detection rate in 15 physicians and found it was 35 percent almost twice the national average.

Then, seven endoscopists were randomly chosen to take the course, and detection rate was then measured in all of the endoscopists those who took the course and the eight who didn't. Over the course of the study, these physicians performed 2,400 colonoscopies.

The researchers found that the endoscopists who took the course improved their adenoma detection rate to 47 percent, while the rate remained 35 percent among the doctors who did not take the course.

"This relatively simple education program substantially increased the proficiency of physicians who are already skilled," Dr. Wallace says. "Many people in the field think it is hard to change an endoscopist's level of proficiency, but we show that is not the case."

Dr. Wallace is now seeking to test the benefit of the short training course in a wider range of non-academic, community-based physicians the doctors who perform most colonoscopies.

The study was funded by Mayo Clinic.


'/>"/>

Contact: Kevin Punsky
punsky.kevin@mayo.edu
904-953-2299
Mayo Clinic
Source:Eurekalert

Related medicine news :

1. Brief training program improves resident physicians empathy with patients
2. Even Brief Ozone Exposure May Raise Fatal Heart Risk: Study
3. Kessler Foundation and Heldrich Center issue brief on hiring workers with disabilities
4. Steroid Shots for Sciatica: Benefits Only Brief, Analysis Finds
5. Announcing press briefings and media registration for Society for Personality and Social Psychology 2013
6. AddictionFreeCanada.com, At a Recent Press Briefing, Offered Solutions to Dangers Caused by Smoking, Drinking and Gambling.
7. Experimental agent briefly eases depression rapidly in test
8. New policy brief examines impact of occupational injuries and illnesses among low-wage workers
9. Texting in College Classrooms Common, Distracting
10. IADR/AADR publish studies on severe early childhood caries - proposes new classification
11. Scripps Research scientists show how memory B cells stay in class to fight different infections
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... “The Journey: From the ... danger possible to save lost souls in the Philippines. “The Journey: From the Mountains ... a dedicated teacher of the Bible. She has taught all ages and currently teaches ...
(Date:10/12/2017)... San Francisco, CA (PRWEB) , ... October 12, ... ... and Dr. Cheng, are now treating sleep apnea using cutting-edge Oventus ... sleep apnea, a serious sleep disorder characterized by frequent cessation in breathing. Oral ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... IsoComforter, Inc. ... products, announced today the introduction of an innovative new design of the shoulder pad. ... so you get maximum comfort while controlling your pain while using cold therapy. By ...
(Date:10/12/2017)... ... October 12, 2017 , ... Information about ... intend to develop to enable prevention of a major side effect of chemotherapy ... especially in pediatric patients. For cisplatin, hearing loss is FDA listed on-label as ...
(Date:10/12/2017)... ... ... Leading pediatric oncology experts at Children’s National Health System will ... the International Society of Paediatric Oncology (SIOP) Oct. 12-15. Chaired by Jeffrey ... Disorders at Children’s National, and Stephen P. Hunger, M.D., Chief of the Division ...
Breaking Medicine News(10 mins):
(Date:9/22/2017)... -- As the latest Obamacare repeal effort moves is debated, ... and Lindsey Graham (R-SC) medical device market ... is in an odd place.  The industry wants repeal ... on medical device sales passed along with the Affordable ... visits and hospital customers with the funding to invest ...
(Date:9/18/2017)... Pa. and KALAMAZOO, Mich. , Sept. 18, ... , and OptiMed Specialty Pharmacy of ... to offer a strategic hub service that expedites and ... sought-after personal spirometer, Spiro PD 2.0, and wellness management ... spirometer is a medical device used to measure lung ...
(Date:9/12/2017)... , Sept. 12, 2017  Consumer reviews on the independent review ... as the number one company for hearing aids, ranking it higher ... other brands. ... Named #1 by Consumers For Hearing Aids ... Embrace Hearing is an online store that provides high performance, state-of-the-art, ...
Breaking Medicine Technology: